HomeMy WebLinkAboutpermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Developmept Services
Permit Number:
Building Permit Application
Z300 Virginia Avenue, Fort Pierce. FL 34987.
Phone`,(772) 462-1553 Fax: (772) 462-1578'
PERMITAPPLICATIOM FOR:
PREP"OSE�.IT�IpROUEM�NT LUGAT��N �"`
Address: 410 SE TRANQUILLA AVE, PSL , FL 34983
PropertyTax ID#:3419-530-0084-000-5 Lot No..
Site Plan Name;
Project Name: LOGAN ADHINS &CRYSTAL MEDINA
10 Windows & 2 Doors
New Electrical Meter Second Electrical Meter
Additional work to be performed under thispermiti—check all that apply:.
Mechanical
Electric.
Gas Tank'
Plumbing
Total Sq. Ft of Constructions
._Gas Piping;
_Sprinklers
`
Generator
Sq:-Ft. of First
Block No.
¢WindRoof Pitch
_Pond
f
.Cost of Construction; $,25,267 Utilities; _Sewer Septic Building,.Height;
NameLOGANADKINS&CRYSTAL MEDINA
Name:DANBECICNER
Addresss410 SE TRANQUILLA AVE
Company: PARADISE EXTERIORS LLC
City: PSL State: FL
Zip, Code: 34983 Fax:
Phone No.561-502-5555
Addre55;1918 CORPORATE DR
City: BOYNTON BEACH State:FL
Zip Code?33426 Fax;
Phone No 561-732-0300
E-Mail:
Fill in fee simpleTitle Holder on next page ( if different
from the Owner listed above)
E-Mailpermits.paradiseext@gmail.com
State or County License SCC131150472
If value of construction is 2500 or more, a RECORDED Nafice of Commencementsrequtretl.
If value of HAVC is $7,-500 ormore;,a RECORDED Notice of Commencement is required.
5UPILEMLIVTALC�[VSRUCTf�ly UEN LRW INFOftNlaT10N,
DESIGNER/ENGINEER,. Applicable
Iv
MORTGAGE`CbMPANY Not
_Not
Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip;.. Phone
Zip;;. Rhone:.
FEE SIMPLE TITLEHOLDER: _Not Applicable
BONDINGCOMPANY: Applicable
Name:-
_Not
Name:
Address:
Address:
City:
City:
Zipr Phoney
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the
issuance of a permit.
St. Lucie County makes no representation that is granting. a permit
will: authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association
rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby
agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments:
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen
rooms and accessory usesto another nonresidential use
WARNING TO OWNER: Yourfailure to Record a Notice of
Commencement may result In payingtwicefor
improvements to your property, A Notice of Commencement must be recorded in the public records of St.
Lucie tCounty ;and posted on the jobsite before the firstinspectiori Ifyou intend to obtain financing, consult
with lender or an attorney before commencing work or recording- our Notice of Commencement:
Signature of.Contractor/License Holder
Signaturepf Owner/ Lessee/Conttactor as Agent for Owner
STATE OF FLORIDA, I o� j
COUNTYOF
COUN � OFORIDA-
t A L
—
5wprn to (or affirmed) and subscribed before me of
Sw n to (or affirmed), and subscribed before me. of
_✓_ Physical Presence or Online Notarization
this `day
_ Ph sical Presence Or Online Notarization
of j 202p by
t is r 3day of 202% by
_
Name of person making stgefn t
Name of person Makin statement. �� f
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r
Personally Known U OR Pro fic ion
Personally Known OR Produced Ide atioli `
_ _
T eof Identification �� '� T
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Type Identification 00
Produced_ F}'
Proelice
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(Signature of NotaryP,ubli, tate of Florida) %DlLF
(Signature of Notary Public - State of Florida) y
Commission No. (Seal) tllor+��
Commission No: (Seal):.
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